t. rowe price. invest with confidence. request a prospectus or summary prospectus with investment information, risks, fees and expenses to read and consider carefly before investing. with investment information, risks, fees and expenses you know it can be hard to lbreathe, and how that feels.e, copd includes chronic bronchitis and emphysema. spiriva helps contl my copd symptoms by keeping my airways open for 24 hours. plus, it reduces copd flare-ups. spiriva is the only once-daily inhaled copd maintenance treatment that does both. spiriva handihaler tiotrium bromide halaon powder does not replace fast-acting inhalers for sudden symptoms. tell your doctor if you have kidney problems, glaucoma, trouble urinating, or an enlarged prostate these may worsen with spiriva. discuss all medicines you take, even eye drops. stif your breathing and seekip suddenly worsens, your throat or tongue swells, you get hives, vision changes or eye pain, or problems passing urine. other de effects include dry mouth and constipation. nothing can